Suggested several decades ago, the nine-step test is an intuitive test of Eustachian tube function. However, studies employing the nine-step test to assess the results of Eustachian tube balloon dilation (EBD) are limited. We aimed to objectively evaluate the efficacy of EBD in opening failure patients with decreased maximal peak pressure difference (MPD) using the nine-step test. Patients who had MPD values ≤ 13 daPa in the nine-step test were enrolled. The patients were categorized into two groups according to treatment decisions after discussion with a clinician: an EBD group (N = 26) and a medication group (N = 30). One month after treatment, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ7) and the nine-step test were administered to all participants and subgroups of symptomatic participants (ETDQ7 > 15). MPD improved (increased) in both the EBD group and the medication group. ETDQ7 values improved (decreased) in the EBD group, but not in the medication group. In subgroup analysis, MPD and ETDQ7 values improved only in the symptomatic EBD group. According to the nine-step test, EBD can normalize 53.8% of decreased MPD. Posttreatment MPD and ETDQ7 scores were significantly better in the EBD group than in the medication group. However, EBD in patients with abnormal nine-step test results seemed less efficacious when the treatment results of the medication group were considered.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584968 | PMC |
| http://dx.doi.org/10.1038/s41598-023-44812-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Establishment of the Normative Value of Classical Bluestone's Nine-Step Inflation/Deflation Tympanometric Eustachian Tube Function Test.
Diagnostics (Basel)
December 2024
Department of Family Medicine, Warren Alpert Medical School, Brown University, Providence, RI 02912, USA.
Background/objectives: The nine-step inflation/deflation tympanometric Eustachian tube function test (commonly referred to as the nine-step test) is a widely utilized method for evaluating Eustachian tube function (ETF). This study aimed to establish normative values for the nine-step test to facilitate the diagnosis of Eustachian tube dysfunction (ETD).
Methods: A total of 160 adults, including 70 healthy volunteers and 90 patients with chronic rhinosinusitis (CRS), were recruited for this study.
Application of Gagné's Instructional Design in Clinical Simulation: Enhancing Learning in Obstetric Emergency Management.
Cureus
January 2025
Obstetrics and Gynaecology, University of Leeds, Leeds, GBR.
Introduction: Simulation-based learning is a critical component in medical education, particularly for high-risk scenarios like obstetric emergencies. This study utilized Gagné's nine-step instructional model to design and evaluate a clinical simulation session on postpartum hemorrhage (PPH) management for fourth-year medical students.
Methods: The session was structured using Gagné's instructional events, including engaging case vignettes, multimedia presentations, guided practical activities, and immediate feedback.
Measuring Scholarly Practice in Respiratory Therapists: The Development and Initial Validation of a Scholarly Practice Tool.
J Contin Educ Health Prof
December 2024
Dr. Zaccagnini: Graduated doctoral student, School of Physical and Occupational Therapy, McGill University, Montréal, Québec. Canada, and Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada. Dr. Bussières: Professor, Département chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, and School of Physical and Occupational Therapy, McGill University, Montréal, Québec. Canada, and Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada. Dr. Nugus: Associate Professor, Institute of Health Sciences Education, McGill University, Montréal, Québec, Canada, and Department of Family Medicine, McGill University, Montréal, Québec, Canada. Dr. West: Chief Executive Officer, The Canadian Society of Respiratory Therapists, Saint John, New Brunswick, Canada. Dr. Thomas: Associate Professor, School of Physical and Occupational Therapy, McGill University, Montréal, Québec. Canada, and Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada, and Institute of Health Sciences Education, McGill University, Montréal, Québec. Canada.
Introduction: Respiratory therapists (RTs) must apply competencies to address the health care needs of the public. Although all competencies are deemed essential, scholarly practice requires that professionals critically assess their practices, integrate evidence-based literature, and enhance the care they deliver to patients. Though scholarly practice is also associated with professional empowerment, role satisfaction, and improved patient care, it is rarely measured.
View Article and Find Full Text PDFInterpretation of the nine-step test for Eustachian tube function should consider mastoid cavity volume.
Clin Otolaryngol
September 2024
Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea.
Introduction: The modified nine-step test is a classical method for evaluating Eustachian tube function. However, clinical interpretation of the increased maximal difference in middle ear pressure (mdMEP) in the modified nine-step test is unknown. We hypothesised that the different reservoir effects of the mastoid cavity can bias the results of the modified nine-step test.
View Article and Find Full Text PDFGait differences between COPD and healthy controls: systematic review and meta-analysis.
Eur Respir Rev
April 2024
ISGlobal, Barcelona, Spain.
Article Synopsis
- The study investigates how gait differs between people with COPD and healthy individuals, focusing on walking tests.
- Analysis of 21,085 records led to 25 studies being included, covering over 3,200 participants, showing that those with COPD walk significantly slower than healthy controls.
- The findings suggest that slower walking may increase fall risks for COPD patients, but overall evidence regarding other gait characteristics remains inconclusive, highlighting a gap in research on this topic.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!